Chapter 405 |
2022 -- S 2746 SUBSTITUTE A AS AMENDED Enacted 06/30/2022 |
A N A C T |
RELATING TO INSURANCE -- SURPLUS LINES INSURANCE |
Introduced By: Senator Roger Picard |
Date Introduced: March 24, 2022 |
It is enacted by the General Assembly as follows: |
SECTION 1. Section 27-3-38 of the General Laws in Chapter 27-3 entitled "Surplus Lines |
Insurance" is hereby amended to read as follows: |
27-3-38. Surplus line brokers -- License -- Affidavit of inability to obtain insurance -- |
Reports and records -- Premium tax -- Notice to purchasers. |
(a) The insurance commissioner may issue a surplus line broker's license to any person |
authorizing the licensee to procure, subject to the restrictions provided in this section, policies of |
insurance, except life and health and accident, except as allowed under § 27-3-38.3, from eligible |
surplus lines insurers. Residents of this state must hold a an property and casualty insurance |
producer license to qualify for a surplus lines broker license. This license may be denied, |
suspended, or revoked by the insurance commissioner whenever, in the commissioner's judgment, |
any of the bases under § 27-2.4-14 exist. Before any license is issued by the insurance commissioner |
and before each renewal of a license, there shall be filed in his or her office a written application |
by the person desiring the license in the form, and containing any information, that the insurance |
commissioner may prescribe. For the purposes of carrying out the provisions of the Nonadmitted |
and Reinsurance Reform Act of 2010, the commissioner is authorized to utilize the national |
insurance producer database of the National Association of Insurance Commissioners (NAIC), or |
any other equivalent uniform national database, for the licensure of a person as a surplus lines |
producer and for renewal of such license. For insureds whose home state is this state, a person shall |
not procure a contract of surplus lines insurance with a nonadmitted insurer unless the person |
possesses a current surplus lines insurance license issued by the commissioner. |
(b) A Rhode Island resident business entity acting as a surplus line broker may elect to |
obtain a surplus line broker license. Application shall be made using the uniform business entity |
application. Prior to approving the application, the commissioner shall find both of the following: |
(1) The business entity has paid the appropriate fees. |
(2) The business entity has designated a licensed surplus line broker responsible for the |
business entity's compliance with the insurance laws and rules of this state. |
(c) When any policy of insurance is procured under the authority of that license, there shall |
be executed, both by the licensee and by the insured, affidavits setting forth facts showing that the |
insured, or a licensed Rhode Island producer, were unable, after diligent effort, to procure from no |
less than three (3) admitted insurers the full amount of insurance required to protect the property |
owned or controlled by the insured or the risks insured. Provided, however, the aforementioned |
affidavit shall not be required when insuring the following interest: amusement parks and devices, |
environmental improvement and/or remediation sites, vacant property or property under |
renovation, demolition operations, event cancellation due to weather, railroad liability, |
discontinued products, fireworks and pyrotechnics, warehouseman's legal liability, excess property |
coverage, private flood, and contingent liability. In addition, no such affidavit is required for |
exempt commercial purchasers as defined by the Nonadmitted and Reinsurance Reform Act of |
2010. For purposes of this section, residual market mechanisms shall not be considered authorized |
insurers. Prior to renewing, continuing, or extending any policy, the licensed surplus line broker |
must confirm that the insurer is on the insurance commissioner's list of approval surplus line |
insurers in this state. |
(d) The licensee shall keep a complete and separate record of all policies procured from |
approved surplus lines insurers under the license and these records shall be open to the examination |
of both the insurance commissioner and tax administrator at all reasonable times and shall show |
the exact amount of each kind of insurance permitted under this section which has been procured |
for each insured; the gross premiums charged by the insurers for each kind of insurance permitted |
under this section which were returned to each insured; the name of the insurer or insurers which |
issued each of these policies; the effective dates of these policies; and the terms for which these |
policies were issued. The licensee shall file a yearly report with the insurance commissioner on a |
form prescribed by the insurance commissioner showing the business procured under the surplus |
line license for the preceding calendar year, and the report shall be due annually on or before April |
1. |
(e) Every person, firm, or corporation licensed pursuant to the provisions of this section |
shall file with the insurance commissioner, at the time of the insurance producer license renewal, |
sufficient information, as determined by the insurance commissioner, whether a licensee or a person |
acting on the licensee's behalf, has paid to the tax administrator, for all policies procured by the |
licensee pursuant to the license during the next preceding calendar year, a tax, computed at the rate |
of four percent (4%) on the gross premiums charged the insured by the insurers, less the amount of |
premiums returned to the insured. The tax administrator shall provide to the insurance |
commissioner, upon request, information needed to determine compliance with this subsection. |
The content and nature of the information to be disclosed shall be determined and approved by the |
tax administrator, shall be the minimum necessary to determine compliance, and shall be kept |
confidential by the insurance commissioner. |
(f) Every application form for insurance from a surplus lines insurer, every affidavit form |
executed by the insured, and every policy (on its front and declaration pages) issued by the surplus |
lines insurer, shall contain in ten-point (10) type the following notice: |
NOTICE |
THIS INSURANCE CONTRACT HAS BEEN PLACED WITH AN INSURER NOT |
LICENSED TO DO BUSINESS IN THE STATE OF RHODE ISLAND BUT APPROVED AS A |
SURPLUS LINES INSURER. THE INSURER IS NOT A MEMBER OF THE RHODE ISLAND |
INSURERS INSOLVENCY FUND. SHOULD THE INSURER BECOME INSOLVENT, THE |
PROTECTION AND BENEFITS OF THE RHODE ISLAND INSURERS INSOLVENCY FUND |
ARE NOT AVAILABLE. |
SECTION 2. Section 27-4.4-4 of the General Laws in Chapter 27-4.4 entitled "The |
Standard Nonforfeiture Law for Individual Deferred Annuities" is hereby amended to read as |
follows: |
27-4.4-4. Minimum values. |
(a) The minimum values as specified in §§ 27-4.4-5 -- 27-4.4-8 and 27-4.4-10 of any paid- |
up annuity, cash surrender, or death benefits available under an annuity contract shall be based |
upon minimum nonforfeiture amounts as defined in this section. |
(b) The minimum nonforfeiture amount at any time at or prior to the commencement of |
any annuity payments shall be equal to an accumulation up to that time at rates of interest as |
provided in subsection (d) of this section, the net considerations as defined in this section paid prior |
to that time, decreased by the sum of: |
(1) Any prior withdrawals from or partial surrenders of the contract accumulated at rates |
of interest as provided in subsection (d) of this section; and |
(2) The amount of any indebtedness to the company on the contract, including interest due |
and accrued; |
(3) An annual contract charge of fifty dollars ($50.00), accumulated at rates of interest as |
provided in subsection (d) of this section; and |
(4) Any premium tax paid by the company for the contract, accumulated at rates of interest |
as provided in subsection (d) of this section. |
(c) The net considerations for a given contract year used to define the minimum |
nonforfeiture amount shall be an amount equal to eighty-seven and one-half percent (87.5%) of the |
gross considerations credited to the contract during that contract year. |
(d) The interest rate used in determining minimum nonforfeiture amounts shall be an |
annual rate of interest determined as the lesser of three percent (3%) per annum and the following, |
which shall be specified in the contract if the interest rate will be reset: |
(1) The five-(5) year (5) Constant Maturity Treasury Rate reported by the Federal Reserve |
as of a date, or average over a period, rounded to the nearest one twentieth of one percent (1/20%), |
specified in the contract no longer than fifteen (15) months prior to the contract issue date or |
redetermination date under subdivision (4) of this subsection; |
(2) Reduced by one hundred twenty-five (125) basis points; |
(3) Where the resulting interest rate is not less than one percent (1%); and |
(4) The interest rate shall apply for an initial period and may be redetermined for additional |
periods. The redetermination date, basis and period, if any, shall be stated in the contract. The basis |
is the date or average over a specified period that produces the value of the five-(5) year (5) |
Constant Maturity Treasury Rate to be used at each redetermination date. |
(e) During the period or term that a contract provides substantive participation in an equity |
indexed benefit, it may increase the reduction described in subsection (d)(2) of this section above |
by up to an additional one hundred (100) basis points to reflect the value of the equity index benefit. |
The present value at the contract issue date, and at each redetermination date thereafter, of the |
additional reduction shall not exceed the market value of the benefit. The commissioner of |
insurance may require a demonstration that the present value of the reduction does not exceed the |
market value of the benefit. Lacking such a demonstration that is acceptable to the commissioner, |
the commissioner may disallow or limit the additional reduction. |
(f) The commissioner of insurance may adopt rules to implement the provisions of |
subsection (e) of this section and to provide for further adjustments to the calculation of minimum |
nonforfeiture amounts for contracts that provide substantive participation in an equity index benefit |
and for other contracts that the commissioner determines adjustments are justified. |
SECTION 3. Section 27-7.1-11.1 of the General Laws in Chapter 27-7.1 entitled "Workers' |
Compensation Insurance" is hereby amended to read as follows: |
27-7.1-11.1. Challenge and review of application of rating system. |
(a) An advisory organization and every insurer subject to this chapter which that makes its |
own rate shall provide within this state reasonable means where any person aggrieved by the |
application of its rating system may upon that person's written request be heard in person or by the |
person's authorized representative representative's written request to review the manner in which |
the rating system has been applied in connection with the insurance afforded the aggrieved person. |
(b) Any party affected by the action of an advisory organization or the insurer may, within |
thirty (30) days after written notice of that action, make application, in writing, for an appeal to the |
director, setting forth the basis for the appeal and the grounds to be relied upon by the applicant. If |
the advisory organization or insurer fails to grant or reject the request within thirty (30) days after |
it is made, the applicant may proceed in the same manner as if the application has been rejected. |
(c) The director shall review the application and, if the director finds that the application is |
made in good faith and that it sets forth on its face grounds which that reasonably justify holding |
a hearing, the director shall conduct a hearing held not less than ten (10) days after written notice |
to the applicant and to an advisory organization or insurer. The director, after a hearing, shall affirm |
or reverse the action of an advisory organization or insurer. |
(d) If, after a hearing held under this section, it is determined that the rates charged by an |
insurer are in excess of the appropriate rate, the overcharge shall be refunded to the insured. |
SECTION 4. Section 27-29-4 of the General Laws in Chapter 27-29 entitled "Unfair |
Competition and Practices" is hereby amended to read as follows: |
27-29-4. Unfair methods of competition and unfair or deceptive acts or practices |
defined. |
The following are defined as unfair methods of competition and unfair and deceptive acts |
or practices in the business of insurance: |
(1) Misrepresentations and false advertising of policies or contracts. Making, issuing, |
circulating, or causing to be made, issued, or circulated, any estimate, illustration, circular, or |
statement, sales presentation, omission, or comparison misrepresenting the terms of any policy |
issued or to be issued or the benefits, conditions, or advantages promised by any policy or the |
dividends or share of the surplus to be received on any policy, or making any false or misleading |
statement as to the dividends or share of surplus previously paid on any policy, or making any |
misleading representation or any misrepresentation as to the financial condition of any insurer, or |
as to the legal reserve system upon which any life insurer operates, or using any name or title of |
any policy or class of policies misrepresenting the true nature of that policy or class of policies, or |
making any misrepresentation to any policyholder insured in any company including any |
intentional misquote of a premium rate, for the purpose of inducing or tending to induce the |
policyholder to lapse, forfeit, or surrender his or her insurance, or misrepresenting for the purpose |
of effecting a pledge or assignment of or effecting a loan against any policy, or misrepresenting |
any policy as being share or stock; |
(2) False information and advertising generally. Making, publishing, disseminating, |
circulating, or placing before the public or causing, directly or indirectly, to be made, published, |
disseminated, circulated, or placed before the public in a newspaper, magazine, or other |
publication, or in the form of a notice, circular, pamphlet, letter, or poster, or over any radio or |
television station, or in any other way, an advertisement, announcement, or statement containing |
any assertion, representation, or statement with respect to the business of insurance or with respect |
to any person in the conduct of his or her insurance business that is untrue, deceptive, or misleading; |
(3) Defamation. Making, publishing, disseminating, or circulating, directly or indirectly, |
or aiding, abetting, or encouraging the making, publishing, disseminating, or circulating of any oral |
or written statement or any pamphlet, circular, article of literature that is false or maliciously critical |
of or derogatory to the financial condition of an insurer, and that is calculated to injure any person |
engaged in the business of insurance; |
(4) Boycott, coercion, and intimidation. Entering into any agreement to commit, or by any |
concerted action committing, any act of boycott, coercion, or intimidation resulting in or tending |
to result in unreasonable restraint of, or monopoly in, the business of insurance; |
(5)(i) False financial statements. Knowingly filing with any supervisory or other public |
official, or knowingly making, publishing, disseminating, circulating, or delivering to any person, |
or placing before the public or causing directly or indirectly, to be made, published, disseminated, |
circulated, delivered to any person, or placed before the public any false material statement of |
financial condition of an insurer; or |
(ii) Knowingly making any false entry of a material fact in any book, report, or statement |
of any insurer or knowingly omitting to make a true entry of any material fact pertaining to the |
business of the insurer in any book, report, or statement of the insurer; |
(6) Stock operations and advisory board contracts. Issuing or delivering or permitting |
agents, officers, or employees to issue or deliver agency company stock or other capital stock, or |
benefit certificates or shares in any common law corporation, or securities of any special or advisory |
board contracts or other contracts of any kind promising returns and profits as an inducement to |
insurance; |
(7)(i) Unfair discrimination. Making or permitting any unfair discrimination between |
individuals of the same class and equal expectation of life in the rates charged for any policy of life |
insurance or of life annuity or in the dividends or other benefits payable on any such policy or life |
annuity, or in any other of the terms and conditions of the policy; |
(ii) Making or permitting any unfair discrimination between individuals of the same class |
and of essentially the same hazard in the amount of premium, policy fees, or rates charged for any |
policy or contract of accident or health insurance or in the benefits payable under any policy or |
contract, or in any of the terms or conditions of that policy, or in any other manner; |
(iii) Making or permitting any unfair discrimination between individuals or risks of the |
same class and of essentially the same hazards by refusing to issue, refusing to renew, canceling, |
or limiting the amount of insurance coverage on a property or casualty risk because of the |
geographic location of the risk, unless: |
(A) The refusal, cancellation, or limitation is for a business purpose that is not a pretext for |
unfair discrimination; or |
(B) The refusal, cancellation, or limitation is required by law or regulation; |
(iv) Making or permitting any unfair discrimination between individuals or risks of the |
same class and of essentially the same hazards by refusing to issue, refusing to renew, canceling, |
or limiting the amount of insurance coverage on a residential property risk, or the personal property |
contained in the residential property risk, because of the age of the residential property, unless: |
(A) The refusal, cancellation, or limitation is for a business purpose that is not a pretext for |
unfair discrimination; or |
(B) The refusal, cancellation, or limitation is required by law or regulation; |
(v) Refusing to insure, refusing to continue to insure, or limiting the amount of coverage |
available to an individual because of the sex or marital status of the individual; nothing in this |
subsection shall prohibit an insurer from taking marital status into account for the purpose of |
defining persons eligible for dependent benefits; |
(vi) To terminate, or to modify coverage, or to refuse to issue or refuse to renew any |
property or casualty policy solely because the applicant or insured or any employee of either is |
mentally or physically impaired; provided, that this subsection shall not apply to accident and health |
insurance sold by a casualty insurer and, provided that this subsection shall not be interpreted to |
modify any other provision of law relating to the termination, modification, issuance or renewal of |
any insurance policy or contract; or |
(vii) Making or permitting any unfair discrimination by treating persons in a domestic |
partnership as defined in § 27-29-2, differently than persons in a marriage for the purposes of |
premiums, policy fees, or rates charged for policies of casualty, fire, homeowners, accident and |
sickness, marine, or automobile insurance; |
(8)(i) |
(i) Rebates. Except as otherwise expressly provided by law, knowingly permitting or |
offering to make or making any policy or agreement as to the policy other than as plainly expressed |
in the policy issued on it, or paying or allowing or giving or offering to pay, allow, or give, directly |
or indirectly, as inducement to the policy, any rebate of premiums payable on the policy, or any |
special favor or advantage in the dividends or other benefits on the policy, or any valuable |
consideration or inducement not specified in the policy, or giving, selling, or purchasing or offering |
to give, sell, or purchase as inducement to the policy, or in connection with the policy, any stocks, |
bonds, or other securities of any insurance company or other corporation, association, or |
partnership, or any dividends or profits accrued on the security, or anything of value not specified |
in the policy; |
(ii) Nothing in subdivision subsection (7) of this section or paragraph subsection 8(i) of |
this subdivision section shall be construed as including within the definition of discrimination or |
rebates any of the following practices: |
(A) In the case of any contract of life insurance policies or life annuity, annuities paying |
bonuses to policyholders or abating their premiums in whole or in part out of surplus accumulated |
from nonparticipating insurance; provided, that any bonuses or abatement of premiums shall be fair |
and equitable to policyholders and for the best interests of the company and its policyholders; |
(B) In the case of life insurance policies issued on the industrial debit plan, making |
allowance to policyholders who have continuously for a specified period made premium payments |
directly to an office of the insurer in an amount that fairly represents the saving in collection |
expenses; and |
(C) Readjustment of the rate of premium for a group insurance policy based on the loss or |
expense experience under it, at the end of the first or any subsequent policy year of insurance under |
the policy, which may be made retroactive only for the policy year; |
(D) Engaging in an arrangement that would not violate § 106 of the Bank Holding |
Company Act Amendments of 1972 (12 U.S.C. § 1972), as interpreted by the Board of Governors |
of the Federal Reserve System, or § 5(q) of the Home Owners' Loan Act, 12 U.S.C. § 1464(q); |
(E) The offer or provision by insurers or producers, by or through employees, affiliates, or |
third-party representatives, of value-added products or services at no or reduced cost when such |
products or services are not specified in the policy of insurance if the product or service: |
(I) Relates to the insurance coverage; and |
(II) Is primarily designed to satisfy one or more of the following: |
(aa) Provide loss mitigation or loss control; |
(bb) Reduce claim costs or claim settlement costs; |
(cc) Provide education about liability risks or risk of loss to persons or property; |
(dd) Monitor or assess risk, identify sources of risk, or develop strategies for eliminating |
or reducing risk; |
(ee) Enhance health; |
(ff) Enhance financial wellness through items such as education or financial planning |
services; |
(gg) Provide post-loss services; |
(hh) Incent behavioral changes to improve the health or reduce the risk of death or disability |
of a customer (defined for purposes of this subsection as policyholder, potential policyholder, |
certificate holder, potential certificate holder, insured, potential insured, or applicant); or |
(ii) Assist in the administration of the employee or retiree benefit insurance coverage. |
(III) The cost to the insurer or producer offering the product or service to any given |
customer must be reasonable in comparison to that customer's premiums or insurance coverage for |
the policy class. |
(IV) If the insurer or producer is providing the product or service offered, the insurer or |
producer must ensure that the customer is provided with contact information to assist the customer |
with questions regarding the product or service. |
(V) The commissioner may adopt regulations when implementing the permitted practices |
set forth in this statute to ensure consumer protection. Such regulations, consistent with applicable |
law, may address, among other issues, consumer data protections and privacy, consumer disclosure, |
and unfair discrimination. |
(VI) The availability of the value-added product or service must be based on documented |
objective criteria and offered in a manner that is not unfairly discriminatory. The documented |
criteria must be maintained by the insurer or producer and produced upon request by the |
department. |
(VII) If an insurer or producer does not have sufficient evidence, but has a good-faith belief |
that the product or service meets the criteria in subsection (8)(ii)(E)(II) of this section, the insurer |
or producer may provide the product or service in a manner that is not unfairly discriminatory as |
part of a pilot or testing program for no more than one year. An insurer or producer must notify the |
department of such a pilot or testing program offered to consumers in this state prior to launching |
and may proceed with the program unless the department objects within twenty-one (21) days of |
notice.; |
(F)(I) Offering or giving non-cash gifts, items, or services, including meals to or charitable |
donations on behalf of a customer, in connection with the marketing, sale, purchase, or retention of |
contracts of insurance, as long as the cost does not exceed an amount determined to be reasonable |
by the commissioner per policy year per term. The offer must be made in a manner that is not |
unfairly discriminatory. The customer may not be required to purchase, continue to purchase, or |
renew a policy in exchange for the gift, item, or service. |
(II) Offering or giving non-cash gifts, items, or services including meals to or charitable |
donations on behalf of a customer, to commercial or institutional customers in connection with the |
marketing, sale, purchase, or retention of contracts of insurance, as long as the cost is reasonable |
in comparison to the premium or proposed premium and the cost of the gift or service is not |
included in any amounts charged to another person or entity. The offer must be made in a manner |
that is not unfairly discriminatory. The customer may not be required to purchase, continue to |
purchase, or renew a policy in exchange for the gift, item, or service. |
(III) Conducting raffles or drawings to the extent permitted by state law, as long as there is |
no financial cost to entrants to participate, the drawing or raffle does not obligate participants to |
purchase insurance, the prizes are not valued in excess of a reasonable amount determined by the |
commissioner, and the drawing or raffle is open to the public. The raffle or drawing must be offered |
in a manner that is not unfairly discriminatory. The customer may not be required to purchase, |
continue to purchase, or renew a policy in exchange for the gift, item, or service.; |
(iii) An insurer, producer or representative of either may not offer or provide insurance as |
an inducement to the purchase of another policy or otherwise use the words "free", "no cost", or |
words of similar import, in an advertisement. |
(9)(i) Free choice of insurance producer or insurer. When any person, firm, or corporation |
engaged in the business of lending money on the security of real or personal property, or in the |
business of negotiating, purchasing, selling, or holding loans on the security of real property, or in |
the business of building, selling, or financing the sale or purchase of real property, or any trustee, |
director, officer, agent, or other employee of that person, firm, or corporation, requires that property |
insurance be procured for the property, the borrower, debtor, or purchaser shall have free choice of |
insurance producer and insurer through or by which the insurance is to be placed or written, subject |
only to the right of the builder, creditor, lender, or seller: |
(A) To require evidence, to be produced at a reasonable time prior to commencement or |
renewal of risk, that the insurance providing reasonable coverage has been obtained in an amount |
equal to the amount required by the builder, creditor, lender, or seller; |
(B) To require insurance in an insurer authorized to do business and having a licensed |
resident insurance producer agent in this state; and |
(C) To refuse to accept insurance in a particular insurer on reasonable grounds related to |
solvency; |
(ii) When any contractor or subcontractor is required to procure a surety bond or policy of |
insurance with respect to any building or construction contract that is about to be, or that has been |
bid or entered into, the contractor or subcontractor shall have free choice of insurance producer and |
insurer through or by which the surety bond or insurance is to be written; provided, that the owner |
or contractor shall have the right: (A) To require evidence, to be produced at a reasonable time |
prior to commencement or renewal of risk, that the insurance providing reasonable coverage has |
been obtained in an amount equal to the amount required by the builder, creditor, lender, or seller; |
(B) To require insurance in an insurer authorized to do business and having a licensed resident |
insurance producer in this state; and (C) To refuse to accept insurance in a particular insurer on |
reasonable grounds related to solvency; provided, that the owner or contractor shall have the right |
to approve the form, sufficiency, or manner of execution of the surety bond or policy or insurance |
furnished by the insurance company or insurance producer selected by the contractor or |
subcontractor; |
(iii) No person who lends money or extends credit may: |
(A) Solicit insurance for the protection of real property after a person indicates interest in |
securing a first mortgage credit extension until that person has received a commitment in writing |
from the lender as to a loan or credit extension; |
(B) Unreasonably reject a policy furnished by the borrower for the protection of the |
property securing the creditor lien. A rejection shall not be deemed unreasonable if it is based on |
reasonable standards, uniformly applied, relating to the extent of coverage required and the |
financial soundness and the services of an insurer. The standards shall not discriminate against any |
particular type of insurer, nor shall the standards call for rejection of a policy because it contains |
coverage in addition to that required in the credit transaction; |
(C) Require that any borrower, mortgagor, purchaser, insurer, or insurance producer pay a |
separate charge, in connection with the handling of any policy required as security for a loan on |
real estate, or pay a separate charge to substitute the policy of one insurer for that of another. This |
subsection does not include the interest that may be charged on premium loans or premium |
advancements in accordance with the terms of the loan or credit document; |
(D) Use or disclose, without the prior written consent of the borrower, mortgagor, or |
purchaser taken at a time other than the making of the loan or extension of credit, information |
relative to a policy that is required by the credit transaction, for the purpose of replacing the |
insurance; or |
(E) Require any procedures or conditions of duly licensed insurance producers or insurers |
not customarily required of those insurance producers or insurers affiliated or in any way connected |
with the person who lends money or extends credit; |
(iv) Every person who lends money or extends credit and who solicits insurance on real |
and personal property subject to paragraph (iii) of this subdivision subsection (9)(iii) of this |
section shall explain to the borrower in writing that the insurance related to the credit extension |
may be purchased from an insurer or insurance producer of the borrower's choice, subject only to |
the lender's right to reject a given insurer or insurance producer as provided in paragraph (iii) |
subsection (9)(iii)(B) of this subdivision section. Compliance with disclosures as to insurance |
required by truth-in-lending laws or comparable state laws shall be compliance with this subsection; |
(v) This requirement for a commitment shall not apply in cases where the premium for the |
required insurance is to be financed as part of the loan or extension of credit involving personal |
property transactions; |
(vi) The commissioner shall have the power to examine and investigate those insurance- |
related activities of any person or insurer that the commissioner believes may be in violation of this |
section. Any affected person may submit to the commissioner a complaint or material pertinent to |
the enforcement of this section; |
(vii) Nothing in this section shall prevent a person who lends money or extends credit from |
placing insurance on real or personal property in the event the mortgagor, borrower, or purchaser |
has failed to provide required insurance in accordance with the terms of the loan or credit document; |
(viii) Nothing contained in this section shall apply to credit life or credit accident and health |
insurance.; |
(10) Notice of free choice of insurance producer or insurer. Every debtor, borrower, or |
purchaser of property with respect to which insurance of any kind on the property is required in |
connection with a debt or loan secured by the property or in connection with the sale of the property, |
shall be informed in writing by the builder, creditor, lender, or seller, of his or her right of free |
choice in the selection of the insurance producer and insurer through or by which the insurance is |
to be placed. There shall be no interference, either directly or indirectly, with the borrower's, |
debtor's, or purchaser's free choice of an insurance producer and of an insurer that complies with |
the requirements of this section, and the builder, creditor, lender, seller, owner, or contractor shall |
not refuse the policy tendered by the borrower, debtor, purchaser, contractor, or subcontractor. |
Upon notice of any refusal of the tendered policy, the insurance commissioner shall order the |
builder, creditor, lender, seller, owner, or contractor to accept the tendered policy, if the |
commissioner determines that the refusal is not in accordance with the requirements of this section. |
Failure to comply with an order of the insurance commissioner shall be deemed a violation of this |
section; |
(11) Using insurance information to detriment of another. Whenever the instrument |
requires that the purchaser, mortgagor, or borrower furnish insurance of any kind on real property |
being conveyed or is collateral security to a loan, the mortgagee, vendor, or lender shall refrain |
from disclosing or using any and all insurance information to his or her or its own advantage and |
to the detriment of either the borrower, purchaser, mortgagor, insurance company, or agency |
complying with the requirements relating to insurance; |
(12) Prohibited group enrollments. No insurer shall offer more than one group policy of |
insurance through any person unless that person is licensed, at a minimum, as an insurance |
producer. This prohibition shall not apply to employer-employee relationships, or to any of these |
enrollments; |
(13) Failure to maintain complaint handling procedures. No insurer shall fail to maintain a |
complete record of all the complaints it received since the date of its last examination pursuant to |
the general laws providing for examination of insurers. This record shall indicate the total number |
of complaints, their classification by line of insurance, the nature of each complaint, the disposition |
of each complaint, and the time it took to process each complaint. For the purposes of this |
subsection, "complaint" means any written communication primarily expressing a grievance; |
(14) Misrepresentation in insurance applications. Making false or fraudulent statements or |
representations on or relative to an application for a policy, for the purpose of obtaining a fee, |
commission, money, or other benefit from any insurers, insurance producer, or individual person; |
(15) Requiring that repairs be made to an automobile at a specified auto body repair shop |
or interfering with the insured's or claimant's free choice of repair facility. The insured or claimant |
shall be promptly informed by the insurer of his or her free choice in the selection of an auto body |
repair shop. Once the insured or claimant has advised the insurer that an auto body repair shop has |
been selected, the insurer may not recommend that a different auto body repair shop be selected to |
repair the automobile. An auto body repair shop may file a complaint with the department of |
business regulation alleging a violation of this subsection (15). Whenever the department of |
business regulation has reason to believe that an insurer has violated this subsection (15), the |
department shall conduct an investigation and may convene a hearing. A complaint filed by an auto |
body repair shop must be accompanied by a statement written and signed by the insured or claimant |
setting forth the factual basis of the complaint, and the insured or claimant must voluntarily appear |
and testify at any administrative proceedings on the complaint; and |
(16) Requiring that motor vehicle glass repair be made at a specified motor vehicle glass |
repair shop or interfering with the insured's or claimant's free choice of a licensed repair facility. |
The insured or claimant shall be promptly informed by the insurer of his or her free choice in the |
selection of a licensed motor vehicle glass repair shop. The insurer shall not require a person to use |
or employ unfair or deceptive acts or practices, threaten, coerce, or intimidate to induce a person to |
use or select a particular licensed motor vehicle glass repair shop to provide motor vehicle glass |
repair services. An insurer shall not knowingly contract with, refer motor vehicle glass repair |
services to, or otherwise negotiate with an unlicensed motor vehicle glass repair shop, as defined |
in chapter 38.5 of title 5. Once the insured or claimant has advised the insurer that a motor vehicle |
glass repair shop has been selected, the insurer may not recommend that a different motor vehicle |
glass repair shop be selected to repair the motor vehicle glass, and an insurer shall not assign or |
dispatch the repair work or forward a related policy or policyholder's contact or repair scheduling |
information to a different licensed motor vehicle glass repair shop without the knowledge and |
consent of the insured. An insured may at any point in time elect to change the insured's choice of |
licensed motor vehicle glass repair shop. However, an insurer authorized to conduct business in the |
state may provide directly, or through other means, including electronic transmissions, specific, |
truthful, and non-deceptive information regarding the features and benefits available to the insured |
under the policy to assist the insured in selecting a licensed motor vehicle glass repair shop or |
scheduling a licensed motor vehicle glass repair shop to perform motor vehicle glass repair, or enter |
into any preferred provider agreements and/or participate in direct repair programs or direct repair |
networks with licensed motor vehicle glass repair shops. A motor vehicle glass repair shop may |
file a complaint with the department of business regulation alleging a violation of this subsection |
(16). Whenever the department of business regulation has reason to believe that an insurer has |
violated this subsection (16), the department shall conduct an investigation and may convene a |
hearing. A complaint filed by a motor vehicle glass repair shop must be accompanied by a statement |
written and signed by the insured or claimant setting forth the factual basis of the complaint, and |
the insured or claimant must voluntarily appear and testify at any administrative proceedings on |
the complaint. |
SECTION 5. Section 27-34.2-6 of the General Laws in Chapter 27-34.2 entitled "Long- |
Term-Care Insurance" is hereby amended to read as follows: |
27-34.2-6. Disclosure and performance standards for long-term-care insurance. |
(a) The director may adopt regulations that establish: |
(1) Standards for full and fair disclosure setting forth the manner, content, and required |
disclosures for the sale of long-term-care insurance policies, terms of renewability, initial and |
subsequent conditions of eligibility, nonduplication of coverage provisions, coverage of |
dependents, preexisting conditions, termination of insurance, continuation or conversion, |
probationary periods, limitations, exceptions, reductions, elimination periods, requirements for |
replacement, recurrent conditions, and definitions of terms; and |
(2) Reasonable rules and regulations that are necessary, proper, or advisable to the |
administration of this chapter including the procedure for the filing or submission of policies |
subject to this chapter. This provision may not abridge any other authority granted the director by |
law. |
(b) No long-term-care insurance policy may: |
(1) Be cancelled, nonrenewed, or terminated on the grounds of the age or the deterioration |
of the mental or physical health of the insured individual or certificate holder; or |
(2) Contain a provision establishing a new waiting period in the event existing coverage is |
converted to or replaced by a new or other form within the same company, except with respect to |
an increase in benefits voluntarily selected by the insured individual or group policyholder; or |
(3) Provide coverage for skilled nursing care only or provide more coverage for skilled |
care in a facility than coverage for lower levels of care. |
(c) A long-term-care policy must provide: |
(1) Home health care healthcare benefits that are at least fifty percent (50%) of those |
provided for care in a nursing facility. The evaluation of the amount of coverage shall be based on |
aggregate days of care covered for home health care when compared to days of care covered for |
nursing home care; and |
(2) Home health care healthcare benefits which that meet the National Association of |
Insurance Commissioners' minimum standards for home health care healthcare benefits in long- |
term-care insurance policies. |
(d)(1) No long-term-care insurance policy or certificate other than a policy or certificate |
issued to a group as defined in § 27-34.2-4(4)(i) shall use a definition of "preexisting condition" |
which is more restrictive than the following: "preexisting condition" means a condition for which |
medical advice or treatment was recommended by, or received from a provider of health care |
healthcare services, within six (6) months preceding the effective date of coverage of an insured |
person; |
(2) No long-term-care insurance policy or certificate other than a policy or certificate issued |
to a group as defined in § 27-34.2-4(4)(i) may exclude coverage for a loss or confinement which |
that is the result of a preexisting condition, unless the loss or confinement begins within six (6) |
months following the effective date of coverage of an insured person; |
(3) The director may extend the limitation periods set forth in subdivisions § 27-34.2-6 |
subsections (d)(1) and (d)(2) of this section of this subsection as to specific age group categories |
in specific policy forms upon findings that the extension is in the best interest of the public; |
(4) The definition of "preexisting condition" does not prohibit an insurer from using an |
application form designed to elicit the complete health history of an applicant, and, on the basis of |
the answers on that application, from underwriting in accordance with that insurer's established |
underwriting standards. Unless otherwise provided in the policy or certificate, a preexisting |
condition, regardless of whether it is disclosed on the application, need not be covered until the |
waiting period described in subdivision § 27-34.2-6 subsection d)(2) of this section of this |
subsection expires. No long-term-care insurance policy or certificate may exclude or use waivers |
or riders of any kind to exclude, limit or reduce coverage or benefits for specifically named or |
described preexisting diseases or physical conditions beyond the waiting period described in |
subdivision § 27-34.2-6 subsection (d)(2) of this section of this subsection, unless the waiver or |
rider has been specifically approved by the director as set forth in § 27-34.2-8. This shall not permit |
exclusion or limitation of benefits on the basis of Alzheimer's disease, other dementias, or organic |
brain disorders. |
(e)(1) No long-term-care insurance policy may be delivered or issued for delivery in this |
state if the policy: |
(i) Conditions eligibility for any benefits on a prior hospitalization or institutionalization |
requirement; or |
(ii) Conditions eligibility for benefits provided in an institutional care setting on the receipt |
of a higher level of institutional care.; or |
(iii) Conditions eligibility for any benefits other than waiver of premium, post- |
confinement, post-acute care, or recuperative benefits on a prior institutionalization requirement. |
(2)(i) A long-term-care insurance policy containing post-confinement, post-acute care or |
recuperative benefits shall clearly label in a separate paragraph of the policy or certificate entitled |
"Limitations or Conditions on Eligibility for Benefits" such limitations or conditions, including any |
required number of days of confinement or rider shall not condition eligibility for non-institutional |
benefits on the prior or continuing receipt of skilled care services. |
(ii) A long-term care insurance policy or rider that conditions eligibility of noninstitutional |
benefits on the prior receipt of institutional care shall not require a prior institutional stay of more |
than thirty (30) days. |
(3) No long-term insurance policy or rider that provides benefits only following |
institutionalization shall condition such benefits upon admission to a facility for the same or related |
conditions within a period of less than thirty (30) days after discharge from the institution. |
(f) The commissioner may adopt regulations establishing loss ratio standards for long- |
term-care insurance policies provided that a specific reference to long-term-care insurance policies |
is contained in the regulation. |
(g) Right to return -- Free look. Long term care insurance applicants shall have the right to |
return the policy or certificate within thirty (30) days of its delivery and to have the premium |
refunded if, after examination of the policy or certificate, the applicant is not satisfied for any |
reason. Long term care insurance policies and certificates shall have a notice prominently printed |
on the first page or attached to the policy or certificate stating in substance that the applicant shall |
have the right to return the policy or certificate within thirty (30) days of its delivery and to have |
the premium refunded if, after examination of the policy or certificate other than a certificate issued |
pursuant to a policy issued to a group defined in § 27-34.2-4(4)(i), the applicant is not satisfied for |
any reason. This subsection shall also apply to denials of applications and any refund must be made |
within thirty (30) days of the return or denial. |
(g)(1) Long-term-care insurance applicants shall have the right to return the policy, |
certificate, or rider to the company or an agent/insurance producer of the company within thirty |
(30) days of its receipt and to have the premium refunded if, after examination of the policy, |
certificate, or rider, the applicant is not satisfied for any reason. |
(2) Long-term-care insurance policies, certificates, and riders shall have a notice |
prominently printed on the first page or attached thereto including specific instructions to |
accomplish a return. This requirement shall not apply to certificates issued pursuant to a policy |
issued to a group defined in § 27-34.2-4. The following free look statement or language |
substantially similar shall be included: |
"You have thirty (30) days from the day you receive this policy, certificate, or rider to |
review it and return it to the company if you decide not to keep it. You do not have to tell the |
company why you are returning it. If you decide not to keep it, simply return it to the company at |
its administration office. Or you may return it to the agent/insurance producer that you bought it |
from. You must return it within thirty (30) days of the day you first received it. The company will |
refund the full amount of any premium paid within thirty (30) days after it receives the returned |
policy, certificate, or rider. The premium refund will be sent directly to the person who paid it. The |
returned policy, certificate, or rider will be void as if it had never been issued." |
(h)(1) An outline of coverage shall be delivered to a prospective applicant for long-term- |
care insurance at the time of initial solicitation through means which that prominently direct the |
attention of the recipient to the document and its purpose; |
(2) The commissioner shall prescribe a standard format, including style, arrangement, and |
overall appearance, and the content of an outline of coverage; |
(3) In the case of insurance producer solicitations, an insurance producer must deliver the |
outline of coverage prior to the presentation of an application or enrollment form; |
(4) In the case of direct response solicitations, the outline of coverage must be presented in |
conjunction with any application or enrollment form; |
(5) In the case of a policy issued to a group defined in subdivision § 27-34.2-4(4)(i) of this |
act chapter, an outline of coverage shall not be required to be delivered, provided that the |
information described in subdivision §§ 27-34.2-6(6)(i) -- subdivision through 27-34.2-6(6)(vi) |
subsections (h)(6)(i) -- (h)(6)(vi) of this section is contained in other materials relating to |
enrollment. Upon request, these other materials shall be made available to the commissioner.; |
(6) The outline of coverage shall include: |
(i) A description of the principal benefits and coverage provided in the policy; |
(ii) A description of the eligibility triggers for benefits and how those triggers are met; |
(ii)(iii) A statement of the principal exclusions, reductions, and limitations contained in the |
policy; |
(iii)(iv) A statement of the terms under which the policy or certificate, or both, may be |
continued in force or discontinued, including any reservation in the policy of a right to change |
premiums. Continuation or conversion provisions of group coverage shall be specifically described; |
(iv)(v) A statement that the outline of coverage is only a summary, not a contract of |
insurance, and that the policy or group master policy contains governing contractual provisions; |
(v)(vi) A description of the terms under which the policy or certificate may be returned and |
the premium refunded; and |
(vi)(vii) A brief description of the relationship of cost of care and benefits.; and . |
(vii)(viii) A statement that discloses to the policyholder or certificate holder whether the |
policy is intended to be a federally tax-qualified long-term-care insurance contract under § |
7702B(b) of the Internal Revenue Code of 1986, as amended, et seq. |
(i) A certificate issued pursuant to a group long-term-care insurance policy which policy is |
delivered or issued for delivery in this state shall include: |
(1) A description of the principal benefits and coverage provided in the policy; |
(2) A statement of the principal exclusions, reductions, and limitations contained in the |
policy; and |
(3) A statement that the group master policy determines governing contractual provisions. |
(4)(j) If an application for a long-term-care insurance contract or certificate is approved, |
the issuer shall deliver the contract or certificate of insurance to the applicant no later than thirty |
(30) days after the date of approval. |
(j)(k) At the time of policy delivery, a policy summary shall be delivered for an individual |
life insurance or annuity policy which that provides long-term-care benefits within the policy or |
by rider. In the case of direct response solicitations, the insurer shall deliver the policy summary |
upon the applicant's request, but regardless of request shall make the delivery no later than at the |
time of policy delivery. In addition to complying with all applicable requirements, the summary |
shall also include: |
(1) An explanation of how the long-term-care benefit interacts with other components of |
the policy, including deductions from death benefits; |
(2) An illustration of the amount of benefits, the length of benefits, and the guaranteed |
lifetime benefits, including a statement that any long-term-care inflation projection option required |
by § 27-34.2-13, is not available under the policy for each covered person; |
(3) Any exclusions, reductions, and limitations on benefits of long-term-care benefits; and |
(4) A statement that any long-term-care inflation protection option required by 230-RICR- |
20-35-1 is not available under this policy. If inflation protection was not required to be offered, or |
if inflation protection was required to be offered but was rejected, a statement that inflation |
protection is not available under this policy that provides long-term-care benefits, and an |
explanation of other options available under the policy, if any, to increase the funds available to |
pay for the long-term-care benefits. |
(4)(5) If applicable to the policy type, the summary shall also include: |
(i) A disclosure of the effects of exercising other rights under the policy; |
(ii) A disclosure of guarantees related to long term care costs of insurance charges A |
disclosure of guarantees, fees or other costs related to long-term-care costs of insurance charges in |
the base policy and any riders; and |
(iii) Current and projected periodic and maximum lifetime benefits. |
(5)(6) The provisions of the policy summary listed above may be incorporated into a basic |
illustration or into the life insurance policy summary which that is required to be delivered in |
accordance with chapter 4 of this title and the rules and regulations promulgated under § 27-4-23. |
(k)(l) Any time a long-term benefit, funded through a life insurance vehicle by the |
acceleration of the death benefit, is in benefit payment status, a monthly report shall be provided to |
the policyholder. The report shall include: |
(1) Any long-term-care benefits paid out during the month; |
(2) Any costs or changes that apply or will apply to the policy or any riders; |
(2)(3) An explanation of any changes in the policy, e.g., death benefits or cash values, due |
to long-term-care benefits being paid out; and |
(3)(4) The amount of long-term-care benefits existing or remaining. |
(l)(m) Any policy or rider advertised, marketed, or offered as long-term care or nursing |
home insurance shall comply with the provisions of this chapter. |
(m)(n) If a claim under a long-term-care insurance contract is denied, the issuer shall, |
within sixty (60) days of the date of a written request by the policyholder or certificate holder, or a |
representative thereof: |
(1) Provide a written explanation of the reasons for the denial; and |
(2) Make available all information directly related to the denial. |
(o) Any policy, certificate, or rider advertised, marketed or offered as long-term care or |
nursing home insurance, as defined in § 27-34.2-4, shall comply with the provisions of this chapter. |
SECTION 6. Section 27-65-1 of the General Laws in Chapter 27-65 entitled "Commercial |
Special Risks" is hereby amended to read as follows: |
27-65-1. Commercial special risks. |
(a) Commercial special risks. Notwithstanding any other provisions of this title to the |
contrary and except as limited in subsection (b) of this section, insurers shall not be required to file |
with, nor to receive approval from, the insurance division of the department of business regulation |
for policy forms or rates used in the insurance of commercial special risks located in this state. |
Commercial special risks are defined as: |
(1) Risks written as commercial lines insurance, defined as insurance issued for purposes |
other than for personal, family, or household and that are written on an excess or umbrella basis; |
(2) Those risks, or portions of them, written as commercial lines insurance, defined as |
insurance issued for purposes other than for personal, family, or household and that are not rated |
according to manuals, rating plans, or schedules including "A" rates; |
(3) Risks written as commercial lines insurance that employ or retain the services of a "risk |
manager" and that also meet any one of the following criteria: |
(i) Net worth over ten million dollars ($10,000,000); |
(ii) Net revenue/sales of over five million dollars ($5,000,000); |
(iii) More than twenty-five (25) employees per individual company or fifty (50) employees |
per holding company in the aggregate; |
(iv) Aggregates premiums of over thirty thousand dollars ($30,000), excluding group life, |
group health, workers' compensation and professional liability (including, but not limited to, errors |
and omissions and directors and officers liability); |
(v) Is a not for profit or public entity with an annual budget or assets of at least twenty-five |
million dollars ($25,000,000); or |
(vi) Is a municipality with a population of over twenty thousand (20,000); |
(4) Specifically designated commercial special risks including: |
(i) All risks classified as highly protected risks. |
"Highly protected risk" means a fire resistive building that meets the highest standards of |
fire safety according to insurance company underwriting requirements; |
(ii) All commercial insurance aviation risks; |
(iii) All credit property insurance risks that are defined as "insurance of personal property |
of a commercial debtor against loss, with the creditor as sole beneficiary" or "insurance of personal |
property of a commercial debtor, with the creditor as primary beneficiary and the debtor as |
beneficiary of proceeds not paid to the creditor." For the purposes of this definition, "personal |
property" means furniture, fixtures, furnishings, appliances, and equipment designed for use in a |
business, trade, or profession and not used by a debtor for personal or household use; |
(iv) All boiler and machinery and equipment breakdown risks; |
(v) All inland marine risks written as commercial lines insurance defined as insurance |
issued for purposes other than for personal, family, or household; |
(vi) All fidelity and surety risks; |
(vii) All crime and burglary and theft risks; and |
(viii) All directors and officers, fiduciary liability, employment practices liability, kidnap |
and ransom, and management liability risks. |
(b) Notwithstanding subsection (a) of this section, the following lines of business shall |
remain subject to all filing and approval requirements contained in this title even if written for risks |
which qualify as commercial special risks: |
(1) Life insurance; |
(2) Annuities; |
(3) Accident and health insurance; |
(4) Automobile insurance that is mandated by statute; |
(5) Workers' compensation and employers' liability insurance; and |
(6) Issuance through residual market mechanisms. |
(c) Any insurer that provides coverage to a commercial special risk shall disclose to the |
insured that forms used and rates charges are exempt from filing and approval requirements by this |
subsection section. Records of all such disclosures shall be maintained by the insurer. |
(d) Brokers for exempt commercial policyholders as defined in subdivision subsection |
(a)(3) of this section shall be exempt from the due diligence requirements of § 27-3-38(bc). |
(e) Notwithstanding any other provisions of this title, the requirements of § 27-5-2 shall |
not apply to any policy insuring one or more commercial special risks located in this state. |
SECTION 7. Title 27 of the General Laws entitled "INSURANCE" is hereby amended by |
adding thereto the following chapter: |
CHAPTER 6.1 |
LENDER PLACED INSURANCE |
27-6.1-1. Purpose. |
The purpose of this chapter is to: |
(1) Promote the public welfare by regulating lender-placed insurance on real property. |
(2) Create a legal framework within which lender-placed insurance on real property may |
be written in this state. |
(3) Help maintain the separation between lenders/servicers and insurers/insurance |
producers. |
(4) Minimize the possibilities of unfair competitive practices in the sale, placement, |
solicitation, and negotiation of lender-placed insurance. |
27-6.1-2 Scope. |
(a) This chapter applies to insurers and insurance producers engaged in any transaction |
involving lender-placed insurance as defined in this chapter. |
(b) All lender-placed insurance written in connection with mortgaged real property, |
including manufactured and mobile homes, is subject to the provisions of this chapter, except: |
(1) Transactions involving extensions of credit primarily for business, commercial, or |
agricultural purposes. |
(2) Insurance offered by the lender or servicer and elected by the mortgagor at the |
mortgagor's option. |
(3) Insurance purchased by a lender or servicer on real estate owned property. |
(4) Insurance for which no specific charge is made to the mortgagor or the mortgagor's |
account. |
27-6.1-3. Definitions. |
As used in this chapter: |
(1) "Affiliate" means a person that directly, or indirectly through one or more |
intermediaries, controls or is controlled by, or is under common control with, the person specified. |
(2) "Commissioner" shall have the meaning established in § 42-14-5. |
(3) "Individual lender-placed insurance" means coverage for individual real property |
evidenced by a certificate of coverage under a master lender-placed insurance policy or a lender- |
placed insurance policy for individual real property. |
(4) "Insurance producer" means a person or entity (or its affiliates) required to be licensed |
under the laws of this state to sell, solicit, or negotiate insurance. |
(5) "Insurer" means an insurance company, association, or exchange authorized to issue |
lender-placed insurance in this state (or its affiliates). |
(6) "Investor" means a person or entity (and its affiliates) holding a beneficial interest in |
loans secured by real property. |
(7) "Lapse" means the moment in time in which a mortgagor has failed to secure or |
maintain valid and/or sufficient insurance upon mortgaged real property as required by a mortgage |
agreement. |
(8) "Lender" means a person or entity (and its affiliates) making loans secured by an |
interest in real property. |
(9) "Lender-placed insurance" means insurance obtained by a lender or servicer when a |
mortgagor does not maintain valid and/or sufficient insurance upon mortgaged real property as |
required by the terms of the mortgage agreement. It may be purchased unilaterally by the lender or |
servicer, who is the named insured, subsequent to the date of the credit transaction, providing |
coverage against loss, expense, or damage to collateralized property as a result of fire, theft, |
collision, or other risks of loss that would either impair a lender, servicer, or investor's interest or |
adversely affect the value of collateral covered by limited dual interest insurance. It is purchased |
according to the terms of the mortgage agreement as a result of the mortgagor's failure to provide |
evidence of required insurance. |
(10) "Loss ratio" means the ratio of incurred losses to earned premium. |
(11) "Master lender-placed insurance policy" means a group policy issued to a lender or |
servicer providing coverage for all loans in the lender or servicer's loan portfolio as needed. |
(12) "Mortgage agreement" means the written document that sets forth an obligation or a |
liability of any kind secured by a lien on real property and due from, owing, or incurred by a |
mortgagor to a lender on account of a mortgage loan, including the security agreement, deed of |
trust, and any other document of similar effect, and any other documents incorporated by reference. |
(13) "Mortgage loan" means a loan, advance, guarantee, or other extension of credit from |
a lender to a mortgagor. |
(14) "Mortgage transaction" means a transaction by the terms of which the repayment of |
money loaned or payment of real property sold is to be made at a future date or dates. |
(15) "Mortgagee" means the person who holds mortgaged real property as security for |
repayment of a mortgage agreement. |
(16) "Mortgagor" means the person who is obligated on a mortgage loan pursuant to a |
mortgage agreement. |
(17) "Person" means an individual or entity. |
(18) "Real estate owned property" means property owned or held by a lender or servicer |
following foreclosure under the related mortgage agreement or the acceptance of a deed in lieu of |
foreclosure. |
(19) "Replacement cost value (RCV)" is the estimated cost to replace covered property at |
the time of loss or damage without deduction for depreciation. RCV is not market value, but it is |
instead the cost to replace covered property to its pre-loss condition. |
(20) "Servicer" means a person or entity (and its affiliates) contractually obligated to |
service one or more mortgage loans for a lender or investor. The term "servicer" includes entities |
involved in subservicing arrangements. |
27-6.1-4. Term of Insurance Policy. |
(a) Lender-placed insurance shall become effective no earlier than the date of lapse of |
insurance upon mortgaged real property subject to the terms of a mortgage agreement and/or any |
other state or federal law requiring the same. |
(b) Individual lender-placed insurance shall terminate on the earliest of the following dates: |
(1) The date the insurance that is acceptable under the mortgage agreement becomes |
effective, subject to the mortgagor providing sufficient evidence of such acceptable insurance. |
(2) The date the applicable real property no longer serves as collateral for a mortgage loan |
pursuant to a mortgage agreement. |
(3) Such other date as specified by the individual policy or certificate of insurance. |
(4) Such other date as specified by the lender or servicer. |
(5) The termination date of the policy. |
(c) An insurance charge shall not be made to a mortgagor for lender-placed insurance for |
a term longer than the scheduled term of the lender-placed insurance, nor may an insurance charge |
be made to the mortgagor for lender-placed insurance before the effective date of the lender-placed |
insurance. |
27-6.1-5. Calculation of coverage and payment of premiums. |
(a) Any lender-placed insurance coverage, and subsequent calculation of premium, should |
be based upon the replacement cost value of the property as best determined as follows: |
(1) The dwelling coverage amount set forth in the most recent evidence of insurance |
coverage provided by the mortgagee ("last known coverage amount" or "LKCA"), if known to the |
lender or servicer. |
(2) The insurer shall inquire of the insured, at least once, ,as to the LKCA; and if it is not |
able to obtain the LKCA from the insured or in another manner, the insurer may proceed as set |
forth below. |
(3) If the LKCA is unknown, the replacement cost of the property serving as collateral as |
calculated by the insurer, unless the use of replacement cost for this purpose is prohibited by other |
state or federal law. |
(4) If the LKCA is unknown and the replacement cost is not available or its use is |
prohibited, the unpaid principal balance of the mortgage loan. |
(b) In the event of a covered loss, any replacement cost coverage provided by an insurer in |
excess of the unpaid principal balance of the mortgage loan shall be paid to the mortgagor. |
(c) An insurer shall not write lender-placed insurance for which the premium rate differs |
from that determined by the schedules of the insurer on file with the commissioner as of the |
effective date of any such policy. |
27-6.1-6. Prohibited Practices. |
(a) An insurer or insurance producer shall not issue lender-placed insurance on mortgaged |
property that the insurer or insurance producer or an affiliate of the insurer or insurance producer |
owns, performs the servicing for, or owns the servicing right to the mortgaged property. |
(b) An insurer or insurance producer shall not compensate a lender, insurer, investor, or |
servicer (including through the payment of commissions) on lender-placed property insurance |
policies issued by the insurer. |
(c) An insurer or insurance producer shall not share lender-placed insurance premium or |
risk with the lender, investor, or servicer that obtained the lender-placed insurance. |
(d) An insurer or insurance producer shall not offer contingent commissions, profit sharing, |
or other payments dependent on profitability or loss ratios to any person affiliated with a servicer |
or the insurer in connection with lender-placed insurance. |
(e) An insurer shall not provide free or below-cost outsourced services to lenders, investors, |
or servicers, and an insurer will not outsource its own functions to lenders, insurance producers, |
investors, or servicers on an above-cost basis. |
(f) An insurer or insurance producer shall not make any payments, including, but not |
limited to, the payment of expenses to a lender, insurer, investor, or servicer for the purpose of |
securing lender-placed insurance business or related outsourced services. |
27-6.1-7. Non-circumvention. |
Nothing in this chapter shall be construed to allow an insurance producer or an insurer |
solely underwriting lender-placed insurance to circumvent the requirements set forth within this |
chapter. This chapter shall apply to all insurers and insurance producers involved in lender-placed |
insurance. |
27-6.1-8. Evidence of Coverage. |
(a) Lender-placed insurance shall be set forth in an individual policy or certificate of |
insurance. A copy of the individual policy, certificate of insurance, or other evidence of insurance |
coverage shall be mailed, first-class mailed, or delivered in person to the last known address of the |
mortgagor or delivered in accordance with chapter 14 of title 42. Notwithstanding any other |
statutory or regulatory required information, the individual policy or certificate of insurance |
coverage shall include the following information: |
(1) The address and identification of the insured property; |
(2) The coverage amount or amounts if multiple coverages are provided; |
(3) The effective date of the coverage; |
(4) The term of coverage; |
(5) The premium charge for the coverage; |
(6) Contact information for filing a claim; and |
(7) A complete description of the coverage provided. |
27-6.1-9. Filing, Approval and Withdrawal of Forms and Rates. |
(a) All policy forms and certificates of insurance to be delivered or issued for delivery in |
this state and the schedules of premium rates pertaining thereto shall be filed with the |
commissioner. |
(b) The commissioner shall review the rates to determine whether the rates are excessive, |
inadequate, or unfairly discriminatory. This analysis shall include a determination as to whether |
expenses included by the insurer in the rate are appropriate. |
(c) All insurers shall re-file lender-placed property insurance rates at least once every four |
(4) years. |
(d) All insurers writing lender-placed insurance shall have separate rates for lender-placed |
insurance and voluntary insurance obtained by a mortgage servicer on real estate owned property. |
(e) Upon the introduction of a new lender-placed insurance program, the insurer shall |
reference its experience in existing programs in the associated filings. Nothing in this chapter shall |
limit an insurer's discretion, as actuarially appropriate, to distinguish different terms, conditions, |
exclusions, eligibility criteria, or other unique or different characteristics. Moreover, an insurer |
may, where actuarially acceptable, rely upon models or, in the case of flood filings where applicable |
experience is not credible, on Federal Emergency Management Agency (FEMA) National Flood |
Insurance Program (NFIP) data. |
(f) No later than April 1 of each year, each insurer with at least one hundred thousand |
dollars ($100,000) in direct written premium for lender-placed insurance in this state during the |
prior calendar year shall report to the commissioner the following information for the prior calendar |
year. This report shall be separately produced for each lender-placed program and presented on |
both an individual-jurisdiction and countrywide basis containing the following information: |
(1) Actual loss ratio; |
(2) Earned premium; |
(3) Any aggregate schedule rating debit/credit to earned premium; |
(4) Itemized expenses; |
(5) Paid losses; and |
(6) Loss reserves, including case reserves and reserves for incurred but not reported losses. |
(g) Except in the case of lender-placed flood insurance, to which this paragraph does not |
apply, if an insurer experiences an annual loss ratio of less than thirty-five percent (35%) in any |
lender-placed program for two (2) consecutive years, it shall submit a rate filing (either adjusting |
its rates or supporting their continuance) to the commissioner no more than ninety (90) days after |
the submission of the data required pursuant to subsection (f) of this section. |
(h) Except as specifically set forth in this section, rate and form filing requirements shall |
be subject to the insurance laws of this state. |
27-6.1-10. Enforcement and judicial review. |
The commissioner shall have all rights and powers to enforce the provisions of this chapter |
as provided by § 42-14-16 of the general laws of this state. All proceedings, including judicial |
review, shall be conducted in accordance with the administrative procedures act, chapter 35 of title |
42 of the general laws. Any penalties shall be assessed in accordance with § 42-14-16. |
27-6.1-11. Regulatory authority. |
The commissioner may, after notice and hearing, promulgate reasonable regulations and |
orders to carry out and effectuate the provisions of this chapter. |
27-6.1-12. Severability provisions. |
If any provision of this chapter, or the application of the provision to any person or |
circumstance, is for any reason held to be invalid, the remainder of the chapter and the application |
of such provision to other persons or circumstances shall not be affected thereby. |
SECTION 8. Section 27-3-39 of the General Laws in Chapter 27-3 entitled "Surplus Lines |
Insurance" is hereby repealed. |
27-3-39. Surplus line broker's bond. |
(a) No license to act as a resident surplus line broker in this state shall be issued until a |
certificate of the general treasurer is deposited with the insurance commissioner on a blank |
furnished by the insurance commissioner, stating that the licensee has filed with the general |
treasurer a bond in the penal sum of twenty-five thousand dollars ($25,000) executed by the licensee |
as principal and by a surety company authorized to transact business in this state as surety, and |
conditioned upon the licensee faithfully complying with all of the requirements of § 27-3-38. |
(b) Any bond required by this section shall be continuous while the principal is licensed to |
act as a surplus line broker in this state; provided, that before the bond may be cancelled, the |
insurance commissioner must have been notified in writing by the surety of the proposed |
cancellation at least thirty (30) days prior to the date cancellation is to become effective; and, |
provided, that in the event of cancellation, any license covered by the bond shall be suspended by |
the insurance commissioner pending the substitution of a similar bond for the cancelled bond. The |
surety shall be released from further liability under any bond covering a license revoked, |
terminated, or expired as to any acts committed after the date that license is revoked, terminated, |
or expired. The aggregate liability of the surety for any and all claims or recoveries that arise under |
any bond shall in no event exceed the amount of the penal sum of the bond. The commissioner may |
promulgate standards and procedures for collecting under bonds issued pursuant to this section. |
(c) Authorized surplus line agents or brokers of a licensed firm may meet the requirements |
of this section with a bond in the name of the licensed firm, continuous in form and in the amounts |
set forth in subsection (a). |
SECTION 9. Section 27-4-6 of the General Laws in Chapter 27-4 entitled "Life Insurance |
Policies and Reserves" is hereby repealed. |
27-4-6. Terms to be stated in policy -- Rebates prohibited. |
(a) No life insurance corporation doing business in this state, nor any insurance producer |
of the corporation, shall permit, offer, or make any contract of insurance or agreement as to any |
contract other than as plainly expressed in the policy issued on the contract or agreement; nor shall |
any company or any officer, insurance producer, or representative of the company or producer pay, |
allow, or give, or offer to pay, allow, or give, directly or indirectly, as inducement to any person to |
insure, or give, sell, or purchase, or offer to give, sell, or purchase as an inducement or in connection |
with any insurance, any stocks, bonds, or other securities of any insurance company or other |
corporation, association, or partnership, or any dividends or profits accruing on the securities, or |
any valuable consideration or inducement of any kind not specified in the policy, nor shall any |
person knowingly receive as an inducement any rebate of premium, or any special favor or |
advantage in the dividends or other benefits, or any paid employment or contract for services of |
any kind, or any valuable consideration or inducement of any kind, not specified in the policy. |
(b) Nothing in this section shall be construed to forbid a company transacting industrial |
insurance on a weekly payment plan from returning to policyholders who have made premium |
payments for a period of at least one year, directly to the company at its home or district offices, a |
percentage of the premium which the company would have paid for the weekly collection of the |
premiums. |
SECTION 10. Section 27-6-46 of the General Laws in Chapter 27-6 entitled "Fire and |
Marine Insurance Rating" is hereby repealed. |
27-6-46. Terms to be stated in policy -- Rebates prohibited. |
No insurer, or any officer, insurance producer, or representative of an insurer, shall make |
any contract for insurance, on property on risks located within this state, or against any liability, |
casualty, accident, or hazard that may arise or occur in this state, or any agreement as to that |
contract, other than as plainly expressed in the policy issued or to be issued on the agreement or |
contract; or shall any insurer, or officer, insurance producer, or representative of an insurer, directly |
or indirectly, in any manner, pay or allow or offer to pay or allow to the insured named in the policy |
or to any employee of the insured as an inducement to that insurance, or after the insurance shall |
have been effected, any rebate from the premium which is specified in the policy or any special |
favor or advantage in the dividends or other benefit to accrue on the policy; or any valuable |
consideration or inducement not specified in the policy or contract of insurance, or give, sell, or |
purchase, as an inducement to that insurance, or in connection with that insurance, any stock, bonds, |
or other securities of any insurance or other corporation or association, or any dividends or profits |
accrued on the securities, or anything of value not specified in the policy, or shall any insurance |
producer or his or her representatives, or any other person, directly or indirectly, either by sharing |
commissions or in any manner pay or allow or offer to pay or allow to the insured named in the |
policy, or to any employee of the insured, as an inducement to that insurance, or after the insurance |
shall have been effected, any rebate from the premium which is specified in the policy, or shall any |
insured, or party, or applicant for insurance, his or her or its employee, agent, or representative |
knowingly receive or accept, or agree to accept, or agree to receive or accept, directly or indirectly, |
any rebate of premium or any part of the premium or all or any part of any commission on the |
premium, or any favor or advantage, or share in any benefit to accrue under any contract of |
insurance, or any valuable consideration or inducement, other than what is specified in the policy; |
provided, that nothing in this section shall prevent any insurer from the distribution of surplus, |
dividends, savings, or the unused or unabsorbed portion of premiums and premium deposits to |
participating policyholders, or shall this section prevent any insurer, or its insurance producer, from |
paying commissions to a licensed insurance producer who shall have negotiated for the insurance, |
or shall it prevent any licensed insurance producer from sharing or dividing a commission earned |
or received by the insurance producer with any other licensed insurance producers who shall have |
aided the insurance producer in respect to the insurance for the negotiation of which that |
commission shall have been earned or paid; but no insurer or agent, or broker shall pay or allow |
commissions or brokerage to any person acting as an insurance producer in this state who is |
required by law to be licensed but is not licensed. Sections 27-8-7 -- 27-8-10 shall not apply to the |
kinds of insurance subject to the provisions of this chapter. |
SECTION 11. Section 27-9-44 of the General Laws in Chapter 27-9 entitled "Casualty |
Insurance Rating" is hereby repealed. |
27-9-44. Terms to be stated in policy -- Rebates prohibited. |
No insurer, or any officer, insurance producer, or their representative, shall make any |
contract for insurance, on property or risks located within this state, or against any liability, |
casualty, accident, or hazard that may arise or occur in this state, or any agreements as to any |
contract, other than as plainly expressed in the policy issued or to be issued on the agreement or |
contract; nor shall any insurer, or officer, insurance producer, or their representative, directly or |
indirectly, in any manner, pay or allow or offer to pay or allow to the insured named in the policy |
or to any employee of the insured as an inducement to the insurance, or after the insurance shall |
have been effected, any rebate from the premium which is specified in the policy or any special |
favor or advantage in the dividends or other benefit to accrue on the policy, or any valuable |
consideration or inducement, not specified in the policy or contract of insurance, or give, sell, or |
purchase, as an inducement to the insurance, or in connection with the insurance, any stock, bonds, |
or other securities of any insurance or other corporation or association, or any dividends or profits |
accrued on the stock, bonds, or securities, or anything of value, not specified in the policy, nor shall |
any insurance producer or representative, or any other person, directly or indirectly, either by |
sharing commissions or in any manner, pay or allow or offer to pay or allow to the insured named |
in the policy, or to any employee of the insured, as an inducement to the insurance, or after the |
insurance shall have been effected, any rebate from the premium which is specified in the policy, |
nor shall any insured, or party, or applicant for insurance, his, her or its employee, agent, or |
representative, knowingly receive or accept, or agree to accept, or agree to receive or accept, |
directly or indirectly, any rebate of a premium or any part of the premium or all or any part of any |
commission on the premium, or any favor or advantage, or share in any benefit to accrue under any |
contract of insurance, or any valuable consideration or inducement, other than what is specified in |
the policy; provided, that nothing in this section shall prevent any insurer from the distribution of |
surplus, dividends, savings, or the unused or unabsorbed portion of premiums and premium |
deposits to participating policyholders, nor shall this section prevent any insurer, or its agent, from |
paying commissions to a licensed insurance producer who shall have negotiated for the insurance, |
nor shall it prevent any licensed insurance producer from sharing or dividing a commission earned |
or received by the insurance producer with any other licensed insurance producer who shall have |
aided the insurance producer in respect to the insurance for the negotiation of which the commission |
shall have been earned or paid; but no insurer, or insurance producer shall pay or allow |
commissions or brokerage to any person acting as an insurance producer in this state who is |
required by law to be licensed but is not licensed. As used in this section, the word "insurance" |
includes suretyship and the word "policy" includes bond. Sections 27-8-7 -- 27-8-10 shall not apply |
to the kinds of insurance subject to the provisions of this chapter. |
SECTION 12. This act shall take effect upon passage. |
======== |
LC005311/SUB A/2 |
======== |